Insurance Fraud Investigation Outsourcing Market

Global Insurance Fraud Investigation Outsourcing Market by Types (Healthcare Fraud Investigation, Auto Insurance Fraud Investigation, Property Insurance Fraud Investigation, Workers Compensation Fraud Investigation, and Others), Applications (Large Insurance Companies, Medium and Small Insurance Companies, and Third-Party Administrators (TPA’s)), and Regions (North America, Europe, Asia Pacific, Latin America, and Middle East & Africa (MEA))

  • Report ID: BFSI-213
  • Author: Growth Market Reports
  • Rating: 4.9
  • Total Reviews: 2
  • No. Of Pages: 182
  • Format:
  • Pub. Date: 16-02-2021
  • Share:

Market Outlook:

The global insurance fraud investigation outsourcing market was valued at USD 525 Million in 2019 and is projected to reach USD 2,154 Million by 2027, expanding at a CAGR of 19.6% during the forecast period. The market is driven by factors such as greater expertise, reduction in risk and cost for insurance companies, increasing adoption of advanced analytics techniques, and stringent regulatory compliances. Conversely, difficulties in detection and prosecution of insurance fraud and enormous costs involved in fighting fraud are likely to restrain the market. significance of social media and increasing adoption of technology are creating opportunities in the market.

Insurance Fraud Investigation Outsourcing Market Summary

Market Dynamics
The outsourcing companies have collective experience and expertise of an outsourcer's investigative workforce. These experts are aware about the insurance industry, claiming process, several fraud schemes, and technology and processes required to investigate, prevent, and detect fraud. Additionally, they are aware about the prosecutorial process and requirement for a successful prosecution. One of the key advantages offered by the fraud investigation outsourcing expertise is the best practice implementation for the overall investigation process. Outsourcing experts implement and recommend procedures covering all phases of fraud investigation from resolution to claim referral, which lead to more impressive outcomes than with a less practiced in-house Special Investigative Unit (SIU).

Training is a major expenditure for insurers to handle insurance fraud investigation in house. Insurance fraud investigation outsourcing reduces expenses for an insurance company and eases an insurer's possibility for bad-faith lawsuits. If an in-house investigator goes out of line to investigate a claim, the insurer is responsible for the legal penalties. However, if a service provider steps out of line to investigate a claim, the insurer points to its contract and make the case that the vendor broke the contractual duty, potentially defending itself from a bad-faith claim.

Advanced analytics techniques are a set of analytical techniques that analyze enterprises’ database and systems to identify the vulnerabilities of frauds. Advanced analytics play an important role in incorporating internal data with third-party data to increase fraud detection abilities. These solutions analyze and monitor data from various data sources, offer a control mechanism to avoid fraudulent practices in real-time, and detect suspicious & unusual and anomalies behavior across all channels. The adoption of analytics has reinforced fraud detection.

Insurers work to increase profits and cut costs by offering targeted insurance resolutions to their customers, insurers constantly modernize their compliance and regulatory functions to meet their ethical and legal ethical obligations cost-effectively and sustainably. The insurance fraud investigation market is expected to grow during the forecast period owing to restricted entry of new market players due to stringent regulatory compliances, which decreases the competition in the market.

Segmental Outlook

By Types Segment
In terms of types, the insurance fraud investigation market is segmented into healthcare fraud investigation, auto insurance fraud investigation, property insurance fraud investigation, workers compensation fraud investigation, and others. The healthcare segment is future divided into policyholder fraud/claims fraud, intermediatory fraud, and internal fraud. The auto insurance fraud investigation segment held 31.3% share of the market in 2020 owing to the increasing filing of fake damages. The healthcare fraud investigation segment is anticipated to expand at a CAGR of 19.8% during the forecast period.

Insurance Fraud Investigation Outsourcing Market By Type

By Applications Segment
On the basis applications, the market is segmented into large insurance companies, medium and small insurance companies, and third-party administrators (TPA’s). The large insurance companies segment accounted for a market share of 50.8% in 2020, while the medium and small insurance companies segment is anticipated to expand at a CAGR of 19.9% during the forecast period.

Insurance Fraud Investigation Outsourcing Market By Application

Region Wise Outlook

On the basis of regions, the market is categorized as North America, Europe, Asia Pacific, Latin America, and Middle East & Africa (MEA). North America is a promising region of the market. The region constituted 38% share of the market in 2020. The demand for insurance fraud investigation outsourcing is expected to rise due to increasing adoption of advanced analytics techniques. The market in Asia Pacific is projected to expand at a CAGR of 20% during the forecast period due to increasing awareness regarding rising instance identity thefts, payment frauds, and claims fraud in the region.

Insurance Fraud Investigation Outsourcing Market By Region

Key Benefits for Industry Participants & Stakeholders

  • In-depth Analysis of the Insurance Fraud Investigation Outsourcing Market.
  • Historical, Current and Projected Market Size in terms of Value.
  • Potential & Niche Segments and Regions Exhibiting Promising Growth Covered
  • Industry Drivers, Restraints and Opportunities Covered in the Study
  • Recent Industry Trends and Developments
  • Competitive Landscape & Strategies of Key Players
  • Neutral Perspective on from insurance fraud investigation outsourcing market Performance
Chapter 1 Executive Summary
Chapter 2 Assumptions and Acronyms Used
Chapter 3 Research Methodology
Chapter 4 Insurance Fraud Investigation Outsourcing Market Overview
   4.1 Introduction
      4.1.1 Market Taxonomy
      4.1.2 Market Definition
      4.1.3 Macro-Economic Factors Impacting the Market Growth
   4.2 Insurance Fraud Investigation Outsourcing Market Dynamics
      4.2.1 Market Drivers
      4.2.2 Market Restraints
      4.2.3 Market Opportunity
   4.3 Insurance Fraud Investigation Outsourcing Market - Supply Chain Analysis
      4.3.1 List of Key Suppliers
      4.3.2 List of Key Distributors
      4.3.3 List of Key Consumers
   4.4 Key Forces Shaping the Insurance Fraud Investigation Outsourcing Market
      4.4.1 Bargaining Power of Suppliers
      4.4.2 Bargaining Power of Buyers
      4.4.3 Threat of Substitution
      4.4.4 Threat of New Entrants
      4.4.5 Competitive Rivalry
   4.5 Global Insurance Fraud Investigation Outsourcing Market Size & Forecast, 2017-2027
      4.5.1 Insurance Fraud Investigation Outsourcing Market Size and Y-o-Y Growth
      4.5.2 Insurance Fraud Investigation Outsourcing Market Absolute $ Opportunity

4.6 Global Insurance Fraud Investigation Outsourcing Market - Legal & Regulatory Framework
4.7 Insurance Fraud Investigation Process Overview
Chapter 5 Global Insurance Fraud Investigation Outsourcing Market Analysis and Forecast By Types
   5.1 Introduction
      5.1.1 Key Market Trends & Growth Opportunities By Types
      5.1.2 Basis Point Share (BPS) Analysis By Types
      5.1.3 Absolute $ Opportunity Assessment By Types
   5.2 Insurance Fraud Investigation Outsourcing Market Size Forecast By Types
      5.2.1 Healthcare Fraud Investigation
         5.2.1.1 Policyholder Fraud/Claims Fraud
         5.2.1.2 Intermediatory Fraud
         5.2.1.3 Internal Fraud
      5.2.2 Auto Insurance Fraud Investigation
      5.2.3 Property Insurance Fraud Investigation
      5.2.4 Workers Compensation Fraud Investigation
      5.2.5 Others
   5.3 Market Attractiveness Analysis By Types
Chapter 6 Global Insurance Fraud Investigation Outsourcing Market Analysis and Forecast By Applications
   6.1 Introduction
      6.1.1 Key Market Trends & Growth Opportunities By Applications
      6.1.2 Basis Point Share (BPS) Analysis By Applications
      6.1.3 Absolute $ Opportunity Assessment By Applications
   6.2 Insurance Fraud Investigation Outsourcing Market Size Forecast By Applications
      6.2.1 Large Insurance Companies
      6.2.2 Medium and Small Insurance Companies
      6.2.3 Third-Party Administrators (TPA’s)
   6.3 Market Attractiveness Analysis By Applications
Chapter 7 Global Insurance Fraud Investigation Outsourcing Market Analysis and Forecast by Region
   7.1 Introduction
      7.1.1 Key Market Trends & Growth Opportunities by Region
      7.1.2 Basis Point Share (BPS) Analysis by Region
      7.1.3 Absolute $ Opportunity Assessment by Region
   7.2 Insurance Fraud Investigation Outsourcing Market Size Forecast by Region
      7.2.1 North America
      7.2.2 Europe
      7.2.3 Asia Pacific
      7.2.4 Latin America
      7.2.5 Middle East & Africa (MEA)
   7.3 Market Attractiveness Analysis by Region
Chapter 8 Coronavirus Disease (COVID-19) Impact
   8.1 Introduction
   8.2 Current & Future Impact Analysis
   8.3 Economic Impact Analysis
   8.4 Government Policies
   8.5 Investment Scenario
Chapter 9 North America Insurance Fraud Investigation Outsourcing Analysis and Forecast
   9.1 Introduction
   9.2 North America Insurance Fraud Investigation Outsourcing Market Size Forecast by Country
      9.2.1 U.S.
      9.2.2 Canada
   9.3 Basis Point Share (BPS) Analysis by Country
   9.4 Absolute $ Opportunity Assessment by Country
   9.5 Market Attractiveness Analysis by Country
   9.6 North America Insurance Fraud Investigation Outsourcing Market Size Forecast By Types
      9.6.1 Healthcare Fraud Investigation
         9.6.1.1 Policyholder Fraud/Claims Fraud
         9.6.1.2 Intermediatory Fraud
         9.6.1.3 Internal Fraud
      9.6.2 Auto Insurance Fraud Investigation
      9.6.3 Property Insurance Fraud Investigation
      9.6.4 Workers Compensation Fraud Investigation
      9.6.5 Others
   9.7 Basis Point Share (BPS) Analysis By Types
   9.8 Absolute $ Opportunity Assessment By Types
   9.9 Market Attractiveness Analysis By Types
   9.10 North America Insurance Fraud Investigation Outsourcing Market Size Forecast By Applications
      9.10.1 Large Insurance Companies
      9.10.2 Medium and Small Insurance Companies
      9.10.3 Third-Party Administrators (TPA’s)
   9.11 Basis Point Share (BPS) Analysis By Applications
   9.12 Absolute $ Opportunity Assessment By Applications
   9.13 Market Attractiveness Analysis By Applications
Chapter 10 Europe Insurance Fraud Investigation Outsourcing Analysis and Forecast
   10.1 Introduction
   10.2 Europe Insurance Fraud Investigation Outsourcing Market Size Forecast by Country
      10.2.1 Germany
      10.2.2 France
      10.2.3 Italy
      10.2.4 U.K.
      10.2.5 Spain
      10.2.6 Russia
      10.2.7 Rest of Europe
   10.3 Basis Point Share (BPS) Analysis by Country
   10.4 Absolute $ Opportunity Assessment by Country
   10.5 Market Attractiveness Analysis by Country
   10.6 Europe Insurance Fraud Investigation Outsourcing Market Size Forecast By Types
      10.6.1 Healthcare Fraud Investigation
         10.6.1.1 Policyholder Fraud/Claims Fraud
         10.6.1.2 Intermediatory Fraud
         10.6.1.3 Internal Fraud
      10.6.2 Auto Insurance Fraud Investigation
      10.6.3 Property Insurance Fraud Investigation
      10.6.4 Workers Compensation Fraud Investigation
      10.6.5 Others
   10.7 Basis Point Share (BPS) Analysis By Types
   10.8 Absolute $ Opportunity Assessment By Types
   10.9 Market Attractiveness Analysis By Types
   10.10 Europe Insurance Fraud Investigation Outsourcing Market Size Forecast By Applications
      10.10.1 Large Insurance Companies
      10.10.2 Medium and Small Insurance Companies
      10.10.3 Third-Party Administrators (TPA’s)
   10.11 Basis Point Share (BPS) Analysis By Applications
   10.12 Absolute $ Opportunity Assessment By Applications
   10.13 Market Attractiveness Analysis By Applications
Chapter 11 Asia Pacific Insurance Fraud Investigation Outsourcing Analysis and Forecast
   11.1 Introduction
   11.2 Asia Pacific Insurance Fraud Investigation Outsourcing Market Size Forecast by Country
      11.2.1 China
      11.2.2 Japan
      11.2.3 South Korea
      11.2.4 India
      11.2.5 Australia
      11.2.6 South East Asia (SEA)
      11.2.7 Rest of Asia Pacific (APAC)
   11.3 Basis Point Share (BPS) Analysis by Country
   11.4 Absolute $ Opportunity Assessment by Country
   11.5 Market Attractiveness Analysis by Country
   11.6 Asia Pacific Insurance Fraud Investigation Outsourcing Market Size Forecast By Types
      11.6.1 Healthcare Fraud Investigation
         11.6.1.1 Policyholder Fraud/Claims Fraud
         11.6.1.2 Intermediatory Fraud
         11.6.1.3 Internal Fraud
      11.6.2 Auto Insurance Fraud Investigation
      11.6.3 Property Insurance Fraud Investigation
      11.6.4 Workers Compensation Fraud Investigation
      11.6.5 Others
   11.7 Basis Point Share (BPS) Analysis By Types
   11.8 Absolute $ Opportunity Assessment By Types
   11.9 Market Attractiveness Analysis By Types
   11.10 Asia Pacific Insurance Fraud Investigation Outsourcing Market Size Forecast By Applications
      11.10.1 Large Insurance Companies
      11.10.2 Medium and Small Insurance Companies
      11.10.3 Third-Party Administrators (TPA’s)
   11.11 Basis Point Share (BPS) Analysis By Applications
   11.12 Absolute $ Opportunity Assessment By Applications
   11.13 Market Attractiveness Analysis By Applications
Chapter 12 Latin America Insurance Fraud Investigation Outsourcing Analysis and Forecast
   12.1 Introduction
   12.2 Latin America Insurance Fraud Investigation Outsourcing Market Size Forecast by Country
      12.2.1 Brazil
      12.2.2 Mexico
      12.2.3 Rest of Latin America (LATAM)
   12.3 Basis Point Share (BPS) Analysis by Country
   12.4 Absolute $ Opportunity Assessment by Country
   12.5 Market Attractiveness Analysis by Country
   12.6 Latin America Insurance Fraud Investigation Outsourcing Market Size Forecast By Types
      12.6.1 Healthcare Fraud Investigation
         12.6.1.1 Policyholder Fraud/Claims Fraud
         12.6.1.2 Intermediatory Fraud
         12.6.1.3 Internal Fraud
      12.6.2 Auto Insurance Fraud Investigation
      12.6.3 Property Insurance Fraud Investigation
      12.6.4 Workers Compensation Fraud Investigation
      12.6.5 Others
   12.7 Basis Point Share (BPS) Analysis By Types
   12.8 Absolute $ Opportunity Assessment By Types
   12.9 Market Attractiveness Analysis By Types
   12.10 Latin America Insurance Fraud Investigation Outsourcing Market Size Forecast By Applications
      12.10.1 Large Insurance Companies
      12.10.2 Medium and Small Insurance Companies
      12.10.3 Third-Party Administrators (TPA’s)
   12.11 Basis Point Share (BPS) Analysis By Applications
   12.12 Absolute $ Opportunity Assessment By Applications
   12.13 Market Attractiveness Analysis By Applications
Chapter 13 Middle East & Africa (MEA) Insurance Fraud Investigation Outsourcing Analysis and Forecast
   13.1 Introduction
   13.2 Middle East & Africa (MEA) Insurance Fraud Investigation Outsourcing Market Size Forecast by Country
      13.2.1 Saudi Arabia
      13.2.2 South Africa
      13.2.3 UAE
      13.2.4 Rest of Middle East & Africa (MEA)
   13.3 Basis Point Share (BPS) Analysis by Country
   13.4 Absolute $ Opportunity Assessment by Country
   13.5 Market Attractiveness Analysis by Country
   13.6 Middle East & Africa (MEA) Insurance Fraud Investigation Outsourcing Market Size Forecast By Types
      13.6.1 Healthcare Fraud Investigation
         13.6.1.1 Policyholder Fraud/Claims Fraud
         13.6.1.2 Intermediatory Fraud
         13.6.1.3 Internal Fraud
      13.6.2 Auto Insurance Fraud Investigation
      13.6.3 Property Insurance Fraud Investigation
      13.6.4 Workers Compensation Fraud Investigation
      13.6.5 Others
   13.7 Basis Point Share (BPS) Analysis By Types
   13.8 Absolute $ Opportunity Assessment By Types
   13.9 Market Attractiveness Analysis By Types
   13.10 Middle East & Africa (MEA) Insurance Fraud Investigation Outsourcing Market Size Forecast By Applications
      13.10.1 Large Insurance Companies
      13.10.2 Medium and Small Insurance Companies
      13.10.3 Third-Party Administrators (TPA’s)
   13.11 Basis Point Share (BPS) Analysis By Applications
   13.12 Absolute $ Opportunity Assessment By Applications
   13.13 Market Attractiveness Analysis By Applications
Chapter 14 Competition Landscape
   14.1 Insurance Fraud Investigation Outsourcing Market: Competitive Dashboard
   14.2 Global Insurance Fraud Investigation Outsourcing Market: Market Share Analysis, 2019
   14.3 Company Profiles (Details – Overview, Financials, Developments, Strategy)
      14.3.1 Verity Consulting Limited.
      14.3.2 Suzzess
      14.3.3 PJS Investigations
      14.3.4 CoventBridge
      14.3.5 Corporate Investigative Services
      14.3.6 RobertsonandCo
      14.3.7 ICORP Investigations
      14.3.8 Brumell Group / Brumell Investigations Inc.
      14.3.9 John Cutter Investigations (JCI)
      14.3.10 Kelmar Global
      14.3.11 RGI Solutions
      14.3.12 Delta Investigative Services
      14.3.13 Integrated Security Services
      14.3.14 crigroup.com.
      14.3.15 SECURaGLOBE Solutions, Inc.
Key Segments Covered
By Types
  • Healthcare Fraud Investigation
    • Policyholder Fraud/Claims Fraud
    • Intermediatory Fraud
    • Internal Fraud
  • Auto Insurance Fraud Investigation
  • Property Insurance Fraud Investigation
  • Workers Compensation Fraud Investigation
  • Others
By Applications
  • Large Insurance Companies
  • Medium and Small Insurance Companies
  • Third-party Administrators (TPA’s)
By Regions
  • North America
  • Europe
  • Asia Pacific
  • Latin America
  • Middle East & Africa (MEA)

Key Market Players Profiled in the Report
  • Verity Consulting Limited.
  • Suzzess
  • PJS Investigations
  • CoventBridge
  • Corporate Investigative Services
  • RobertsonandCo
  • ICORP Investigations
  • Brumell Group / Brumell Investigations Inc.
  • John Cutter Investigations (JCI)
  • Kelmar Global
  • RGI Solutions
  • Delta Investigative Services
  • Integrated Security Services
  • crigroup.com.
  • SECURaGLOBE Solutions, Inc.
  • Key players in the insurance fraud investigation outsourcing market Brumell Group / Brumell Investigations Inc., Corporate Investigative Services, CoventBridge, crigroup.com., Delta Investigative Services, ICORP Investigations, Integrated Security Services, John Cutter Investigations (JCI), Kelmar Global, PJS Investigations, RGI Solutions, RobertsonandCo, Suzzess, SECURaGLOBE Solutions, Inc., and Verity Consulting Limited. These companies are considered as key market players of insurance fraud investigation outsourcing market, based on their revenue, research & development (R&D) activities in the areas of improving service offerings, and regional presence.
  • The players are adopting key strategies such as product development, geographical expansion, mergers and acquisition and many other strategies to increase their demand for insurance fraud investigation.

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FAQ Section

Some frequently asked quetions about this report!

Additional company profiles can be provided on request.

Yes, the report covers various types of insurance fraud investigation outsourcing such as healthcare fraud investigation, auto insurance fraud investigation, property insurance fraud investigation, workers compensation fraud investigation, and others.

According to this Growth Market Reports, the market from insurance fraud investigation outsourcing market is likely to register a CAGR of 19.6% during period 2020-2027, with an anticipated valuation of USD 2,154.0 million by the end of the 2027.

In addition to market size (in USD Million) and Company Market Share (in % for base year 2019), other data such Macro-economic factors, COVID-19 Impact on the insurance fraud investigation outsourcing market is available in final report.

Factors such as competitive strength and market positioning are key areas considered while selecting top companies to be profiled.

The insurance fraud investigation outsourcing market is anticipated to grow significantly during forecast period due greater expertise offered through these outsourcing services, reduction in risk and cost for insurance companies, increasing adoption of advanced analytics techniques, and stringent regulatory compliances.

The demand for insurance fraud investigation from large insurance companies, medium and small insurance companies, and third-party administrators (TPA’s) is driving the market growth.

The market is expected to witness sluggish growth with slow increase in terms of demand during 2019-2020 owing to the negative impact of COVID-19 pandemic on the insurance fraud investigation outsourcing market.

The base year considered for the insurance fraud investigation outsourcing market report is 2019. The complete analysis period is 2017 to 2027, wherein, 2017 & 2018 are the historic years, and the forecast is provided from 2020 to 2027.

Major Manufactures include Brumell Group / Brumell Investigations Inc., Corporate Investigative Services, CoventBridge, crigroup.com., Delta Investigative Services, ICORP Investigations, Integrated Security Services, and others.